Organization
WENJEST CORPORATION
Active
Other names
WILLIAMS PHARMACY #17
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE WILLIS RPH (PHARMACY SUPERVISOR)
(405) 473-0094
Entity
Organization
Contact information
Practice address
2400 S CORNWELL DR, YUKON, OK 73099-5804
(405) 354-7449
(405) 354-0833
Mailing address
2400 S CORNWELL DR, YUKON, OK 73099-5804
(405) 354-7449
(405) 354-0833
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
26-5213
OK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200116490F
—
OK
01
—
3722065
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/01/2006
Last updated
05/22/2008
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